PARENT / GUARDIANS INFORMATION

My son/daughter has my permission to be enrolled in the Driver Education program at the York Driving School and, has read and understood the school rules.Click Here for York Schools Handbook

Address same as above?

Parent Name

Email Address

Address

City

State

Zip

Phone

Does the driving student have any of the following medical conditions? Please select if yesPlease select if No.Epilepsy/SeizuresDiabetesBlackouts/Loss of ConsciousnessLimb AmputationParalysisParkinson's DiseaseParkinson's DiseaseMental/EmotionalHeart TroubleOther Condition - Please Explain:

Please Note: If you have been subject to any of the above physical conditions, it may be necessary for you to provide additional information to the State in order to properly process your application.

Please notify the instructor if the student has any special needs requirements.

RULES AND REGULATIONS OF YORK DRIVING SCHOOL LLC

1.NON-REFUNDABLE $225.00 DEPOSIT: DUE AT THE TIME OF REGISTRATION

2.TOTAL COST of course is $675.00 (which includes your deposit).

BALANCE OF COURSE FEE $450.00 is due at or before your first classroom session.